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A Case of Neuromyelitis Optica Spectrum Disorder of a Patient Who Present for Fungal Sinusitis

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주제분류이비인후과학

초록

Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system, characterized by repeatedly invading the brain, optic nerve, or spinal cord. In 2004, when a disease-specific antibody (aquaporin-4-immunoglobulin G) was discovered in the se- rum of an optic neuromyelitis patient, it was thought to be a separated disease from multiple sclerosis. Since 2004, however, the concept of the disease has been expanded to include NMO spectrum disorder (NMOSD). We experienced a rare case of NMOSD in a patient who pre- sented with left visual disturbance and underwent endoscopic sinus surgery because of acute fungal sinusitis. We report this case with a review of the literature.

Abstract

Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system, characterized by repeatedly invading the brain, optic nerve, or spinal cord. In 2004, when a disease-specific antibody (aquaporin-4-immunoglobulin G) was discovered in the se- rum of an optic neuromyelitis patient, it was thought to be a separated disease from multiple sclerosis. Since 2004, however, the concept of the disease has been expanded to include NMO spectrum disorder (NMOSD). We experienced a rare case of NMOSD in a patient who pre- sented with left visual disturbance and underwent endoscopic sinus surgery because of acute fungal sinusitis. We report this case with a review of the literature.

참고문헌 (9)

  1. Holroyd KB, "Update on neuromyelitis optica spectrum disorder", Curr Opin Ophthalmol, 31(6), pp.462~468 (2020)
  2. Ghabrial R, "Invasive fungal sinusitis presenting as acute posterior ischemic optic neuropathy", Neuroophthalmology, 42(4), pp.209~214 (2017)
  3. Kalin-Hajdu E, "Invasive fungal sinusitis : Treatment of the orbit", Curr Opin Ophthalmol, 28(5), pp.522~533 (2017)
  4. Huda S, "Neuromyelitis optica spectrum disorders", Clin Med(Lond), 19(2), pp.169~176 (2019)
  5. Weinshenker BG, "Neuromyelitis spectrum disorders", Mayo Clin Proc, 92(4), pp.663~679 (2017)
  6. Theel ES, "β-D-glucan testing is important for diagnosis of invasive fungal infections", J Clin Microbiol, 51(11), pp.3478~3483 (2013)
  7. 이명철, "침습성 진균성 부비동염의 예후인자", 대한이비인후-두경부외과학회지, 46(10), pp.841~845 (2003), 대한이비인후과학회
  8. Kim SM, "Differential diagnosis of neuromyelitis optica spectrum disorders", Ther Adv Neurol Disord, 10(7), pp.265~289 (2017)
  9. 김남희, "다발경화증과 시신경척수염범주질환의 감별진단", 대한신경과학회지, 34(4), pp.290~296 (2016), 대한신경과학회[DOI]

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